Iron/Folate/B12 Rx Flashcards
Which iron preparation is most effective for an otherwise healthy 24-year-old woman on a limited income with iron deficiency associated with menorrhagia?
A. Ferrous sulfate tablets
B. Sustained release ferrous gluconate tablets
C. Fer-In-Sol
D. Ferrous gluconate chewable tablets
A. Ferrous sulfate is most readily absorbed, and tablets are the least expensive formulation. Fer-In-Sol is an oral solution most often prescribed for infants and small children. It is the most expensive form of oral ferrous sulfate. Chewable tablets are most often used in children.
A female patient has delivered a male child at 32 weeks. Which information would the APN consider related to prescribing iron supplementation to the newborn?
A. No need for iron supplementation as the newborn is being fed breast milk
B. Iron supplementation can be started at 6 months of age
C. Iron supplementation should be started
D. Passage of meconium facilitates iron absorption
C. Preterm infants may have only 3 months of iron stores and they grow at a more rapid rate, which compounds the problem of insufficient iron stores.
In which patient with anemia might the APN suspect folic acid deficiency?
A. A patient taking phenytoin for a seizure disorder
B. A patient eating excessive amounts of raw, green, leafy vegetables
C. A patient taking nitrofurantoin for a urinary tract infection
D. A patient with hypothyroidism
A. Phenytoin can impair folic acid absorption.
The APN is reviewing labs for a patient with suspected iron deficiency anemia (IDA). Which finding would the APN document in the chart after reviewing a complete blood count with differential?
A. Macrocytic
B. Macrocytic normochromic
C. Normocytic normochromic
D. Microcytic hypochromic
D. Anemias are categorized by size, shape, and color. IDA is typically identified as a microcytic hypochromic anemia. Macrocytic normochromic is seen in patients who have folic acid deficiency or pernicious anemia. Normocytic normochromic is seen in 75% of the patients identified with anemia of chronic disease (ACD) or those who have sickle cell disease (SCD).
A 55 year old male is started on a new medication once a day for the treatment of his hypertension about 4 weeks ago but is now complaining of bilateral extremity edema and constipation. Which of the following medications was he most likely started on?
Amlodipine
